AR Analyst- RCM Medical Billing

Job Summary

The AR Caller / AR Analyst is responsible for working outstanding insurance claims to resolution through payer calls, portal research, and root-cause denial analysis, directly driving down Days in AR and improving collection outcomes.

Key Responsibilities

• Work assigned AR aging buckets (30/60/90/120+ days) via payer calls or portals to determine claim status
• Analyze denial reason codes (CARC/RARC) and take corrective action corrected claims, appeals, or reprocessing requests
• Document call notes and actions clearly in the billing system to maintain a complete audit trail
• Identify denial trends — authorization, eligibility, medical necessity, timely filing, coding/bundling — and escalate systemic issues
• Prepare and submit appeals/reconsiderations with the required clinical and billing documentation
• Meet daily and weekly productivity targets for claims worked and dollars collected
• Coordinate with coding, charge entry, and prior-authorization teams to resolve recurring root causes
• Provide clear status updates for client update calls and reports

Required Qualifications & Skills

• Strong knowledge of denial codes, payer policies, and the appeals process
• Excellent verbal communication for payer calls and strong analytical skills
• Familiarity with clearinghouses and payer portals (Availity, NaviNet, payer-specific portals)
• Willingness and ability to work US shift hours